Financial Resources

ADAKVEO SUPPORT TO HELP YOU ON YOUR JOURNEY

The ADAKVEO Support at PANO program may be able to assist you with accessing your medicine—from insurance verification to financial assistance information through a knowledgeable call center.

Novartis is committed to support you as you begin treatment with ADAKVEO, according to your doctor's prescribed treatment. ADAKVEO Support at PANO offers resources and support designed specifically to help you with the process.

ADAKVEO Support at PANO offers the following services:

• Help you understand your insurance coverage and financial responsibilities throughout the insurance verification process
• Help identify infusion sites covered by your insurance plan
• Information about financial assistance that may be available*
• Patient Support Counselors who are able to provide information in more than 160 languages
• One single point of contact to help guide you through getting access to ADAKVEO

SERVICE REQUEST FORM (SRF)

The SRF is a single form with 2 halves:

• One half to be completed by you or your caregiver
• One half to be completed by your doctor

Both halves must be fully completed and submitted to start the process. ADAKVEO Support at PANO will then match the 2 halves and contact your doctor to initiate next steps.

TO LEARN MORE, CALL 1-800-282-7630.

SAVE WITH THE UNIVERSAL CO-PAY PROGRAM

You may be eligible for immediate co-pay savings on your next prescription of ADAKVEO.

• Eligible patients with private/commercial insurance may pay as little as $0 for your ADAKVEO treatment each month
• Novartis will pay the remaining co-pay, up to $15,000 per calendar year^†
  

  To learn more, call 1-800-282-7630.

  ^*Novartis Pharmaceuticals Corporation does not guarantee success in obtaining coverage or financial assistance. Third-party payment for medical products and services is affected by numerous factors, not all of which can be anticipated or resolved.

  ^†Limitations apply. This offer is only available to patients with private insurance. The program is not available for patients who are enrolled in Medicare, Medicaid, or any other federal or state health care program. Novartis reserves the right to rescind, revoke, or amend this program without notice.

For full Terms and Conditions, visit Copay.NovartisOncology.com or call 1-877-577-7756.